Custom Order - COCONYLA

CUSTOM ORDER FORM

Name *

First

Last

Email *

Phone

Candle Type / Style

Color

message Candle Additional

Include a gift message?

If yes write your message / note below

Size [ Candle Bouquet ]

Packaging Preference

Scent Strength

Preferred Delivery Date

Shipping Address

Additional Notes / Instructions

I confirm that the above order details are correct

Date

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